title: Intact giant abdominal aortic aneurysm due to Takayasu arteritis.
abstract: A 35-year-old male fisherman was admitted with complaints of increasing back pain and abdominal discomfort of 1-year duration. Physical examination revealed a prominently visible, expansile, pulsatile, well-defined, nontender abdominal mass in the epigastric, umbilical and both lumbar areas. Computed tomographic (CT) angiography revealed a large juxtarenal aortic aneurysm with a maximum transverse diameter of 14.7 cm with bi-iliac extensions. Anatomy of the aneurysm did not permit endovascular aneurysm repair (EVAR). The patient underwent open surgical inclusion repair using an aorto-bi-iliac, 16 mm × 8 mm, collagen-impregnated, bifurcated Dacron graft. Postoperative recovery was uncomplicated and he left the hospital on postoperative day 5 in good health and has remained so up to the most recent 8-month follow-up. Histopathologic study showed signature features of Takayasu arteritis.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiovascular and Thoracic Surgery, Sree Titra Tirunal Institute for Medical Sciences and Technology, Kerala, India.
authors.forename: Shashidhar
authors.initials: S
authors.lastname: Kallappa Parameshwarappa
authors.forename: Nedounsejiane
authors.initials: N
authors.lastname: Mandjiny
authors.forename: Balasubramoniam
authors.initials: B
authors.lastname: Kavumkal Rajagopalan
authors.forename: Neelima
authors.initials: N
authors.lastname: Radhakrishnan
authors.forename: Sandhyamani
authors.initials: S
authors.lastname: Samavedam
authors.forename: Madathipat
authors.initials: M
authors.lastname: Unnikrishnan
mesh_terms: D000328:Adult; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013625:Takayasu Arteritis / Q000150:complications*